NPI | 1669593273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53321) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D5832) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2008-04-07 |